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Vermont rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $6.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.05 / $6.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.05 / $6.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.50 / $3.64